OHIO

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Ohio

Overview

Ohio has been relatively inactive during the 2017 legislation on healthcare price transparency, cost, or markets. Ohio introduced bills that aimed at lowering prescription drug costs, increasing insurance plan transparency and providing universal healthcare coverage. However, none of these bills had bipartisan support and all failed in committee.

On the price transparency front, an Ohio law enacted in 2015 (HB 52) to increase health care price transparency in the state still has not been enforced because of an ongoing legal challenge from health care providers. The Healthcare Price Transparency Law, which was scheduled to take effect in January 2017, requires providers to supply patients with a “good faith” estimate of how much non-emergency, elective health care services would cost individuals after accounting for health insurance. The law would mandate that providers must give the cost information to patients before they begin treatment. Providers argue that the law’s requirements are too broad and would delay patient care by requiring physicians to make cost estimates before beginning treatment. As of February 2018, the hearing on the lawsuit has been delayed indefinitely.

The State Database

The Source tracks state activities impacting healthcare price and competition in both legislation and litigation in a searchable database to help stakeholders at the state level understand their legal and regulatory environment as they make efforts to improve access, quality, and efficiency, and reduce costs in healthcare. We currently cover bills from the 2017-2018 legislative term and key statutes from each state. Search the database for specific bills, statutes or cases by using keyword, key issue category, and/or jurisdiction.

Ohio Rev. Code Ann. §§ 3727.33 through 40 – Ohio Introduced/Considered: Status: Enacted Requires hospitals to periodically submit information on certain inpatient and outpatient service measures and performance indicators regardless of who pays for the services. The information submitted pursuant to these sections is made available to the …Ohio Rev. Code Ann. § 3727.42 – Ohio Introduced/Considered: Status: Enacted Requires that every hospital compile and make publically available (both in paper and online at no cost) a current price information list containing the usual and customary charges for the specified services, including the following: …Ohio Rev. Code Ann. § 4729.361 – Ohio Introduced/Considered: Status: Enacted Requires retail sellers of dangerous drugs to disclose price information regarding that drug verbally to all persons on the premises and by telephone to all persons maintaining a valid prescription.Ohio Rev. Code Ann. § 5162.80 – Ohio Introduced/Considered: Status: Enacted Requires health care providers to supply patients with a “good faith” estimate of how much non-emergency, elective health care services would cost individuals after accounting for health insurance. The law mandates that providers must give …Ohio Rev. Code Ann. § 3963.03 – Ohio Introduced/Considered: Status: Enacted Specifies the required form of contracts between a health care provider and an insurer.Next | See all Legislation Records

Additional Resources

LEGISLATIVE CALENDAR

Ohio’s current legislative session runs from 1/2/2018 – 12/31/2018. Bills from the 2017 were carried over to 2018 for the 2017-2018 legislative term.

FY 2018-2019 BUDGET

Ohio enacts budgets on a two-year cycle, beginning July 1 of each odd-numbered year. Ohio’s new Biennial Budget will take effect on July 1, 2017 and is valid through June 30, 2019. To view Ohio’s FY 2018-2019 Budget, click here.